Shame, pride, and suicidal ideation in a military clinical sample
- PMID: 23196200
- DOI: 10.1016/j.jad.2012.11.006
Shame, pride, and suicidal ideation in a military clinical sample
Abstract
Background: Suicide risk among U.S. military personnel has been increasing over the past decade. Fluid vulnerability theory (FVT; Rudd, 2006) posits that acute suicidal episodes increase in severity when trait-based (e.g., shame) and state-based (e.g., hopelessness) risk factors interact, especially among individuals who have been previously suicidal. In contrast, trait-based protective factors (e.g., pride) should buffer the deleterious effects of risk factors.
Methods: 77 active duty military personnel (95% Air Force; 58.4% male, 39.0% female; 67.5% Caucasian, 19.5% African-American, 1.3% Native American, 1.3% Native Hawaiian/Pacific Islander, 1.3% Asian, and 5.2% other) engaged in outpatient mental health treatment completed self-report surveys of shame, hopelessness, pride, and suicidal ideation. Multiple generalized regression was utilized to test the associations and interactive effects of shame, hopelessness, and worst-point past suicidal ideation on severity of current suicidal ideation.
Results: Shame significantly interacted with hopelessness (B=-0.013, SE=0.004, p<0.001) and worst-point suicidal ideation (B=0.027, SE=0.010, p=0.010), augmenting each variable's effect on severity of current suicidal ideation. A significant three-way interaction among shame, worst-point suicidal ideation, and pride was also observed (B=-0.010, SE=0.0043, p=0.021), indicating that pride buffered the interactive effects of shame with worst-point suicidal ideation.
Limitations: Small sample size, cross-sectional design, and primarily Air Force sample.
Conclusions: Among military outpatients with histories of severe suicidal episodes, pride buffers the effects of hopelessness on current suicidal ideation. Results are consistent with FVT.
Copyright © 2013 Elsevier B.V. All rights reserved.
Similar articles
-
Guilt, shame, and suicidal ideation in a military outpatient clinical sample.Depress Anxiety. 2013 Jan;30(1):55-60. doi: 10.1002/da.22002. Epub 2012 Oct 17. Depress Anxiety. 2013. PMID: 23077111
-
Age and belongingness moderate the effects of combat exposure on suicidal ideation among active duty Air Force personnel.J Affect Disord. 2013 Sep 25;150(3):1226-9. doi: 10.1016/j.jad.2013.05.087. Epub 2013 Jun 22. J Affect Disord. 2013. PMID: 23800445
-
Guilt is more strongly associated with suicidal ideation among military personnel with direct combat exposure.J Affect Disord. 2013 May 15;148(1):37-41. doi: 10.1016/j.jad.2012.11.044. Epub 2012 Dec 8. J Affect Disord. 2013. PMID: 23232420
-
Narcissism: its function in modulating self-conscious emotions.Bull Menninger Clin. 2012 Summer;76(3):211-34. doi: 10.1521/bumc.2012.76.3.211. Bull Menninger Clin. 2012. PMID: 22988899 Review.
-
Hopelessness in undergraduate students around the world: a review.J Affect Disord. 2013 Sep 25;150(3):1204-8. doi: 10.1016/j.jad.2013.04.055. Epub 2013 Jun 10. J Affect Disord. 2013. PMID: 23764384 Review.
Cited by
-
The role of United States identity in adjustment among Veterans.Mil Psychol. 2020 Oct 30;32(6):408-416. doi: 10.1080/08995605.2020.1802400. eCollection 2020. Mil Psychol. 2020. PMID: 38536242 Free PMC article.
-
The benefits of making peace with pain: chronic pain acceptance moderates the indirect effect of perceived burdensomeness between pain severity and suicidal cognitions.Pain Med. 2023 Aug 1;24(8):993-1000. doi: 10.1093/pm/pnad042. Pain Med. 2023. PMID: 37027224 Free PMC article.
-
Inpatient suicide in psychiatric settings: Evaluation of current prevention measures.Front Psychiatry. 2022 Oct 28;13:997974. doi: 10.3389/fpsyt.2022.997974. eCollection 2022. Front Psychiatry. 2022. PMID: 36386981 Free PMC article. Review.
-
Shame and Suicidal Ideation among Undergraduates in China: The Mediating Effect of Thwarted Belongingness and Perceived Burdensomeness.Int J Environ Res Public Health. 2020 Mar 31;17(7):2360. doi: 10.3390/ijerph17072360. Int J Environ Res Public Health. 2020. PMID: 32244371 Free PMC article.
-
Machine learning of neural representations of suicide and emotion concepts identifies suicidal youth.Nat Hum Behav. 2017;1:911-919. doi: 10.1038/s41562-017-0234-y. Epub 2017 Oct 30. Nat Hum Behav. 2017. Retraction in: Nat Hum Behav. 2023 May;7(5):824. doi: 10.1038/s41562-023-01581-1. PMID: 29367952 Free PMC article. Retracted.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous